gms | German Medical Science

35. Jahrestagung der Deutschsprachigen Arbeitsgemeinschaft für Verbrennungsbehandlung (DAV 2017)

11.01. - 14.01.2017, Chur, Schweiz

Less could be more in a child’s face?

Meeting Abstract

Suche in Medline nach

  • K. Bodenschatz - Klinikum Nürnberg, Klinik für Kinderchirurgie und Kinderurologie, Nürnberg, Germany
  • M. Farmand - Klinik für Mund- Kiefer und plastische Gesichtschirurgie, Universitätsklinik der Paracelsus Medizinischen Privatuniversität, Klinikum Nürnberg, Nürnberg, Germany
  • B. Hülße - Klinikum Nürnberg, Klinik für Kinderchirurgie und Kinderurologie, Nürnberg, Germany

Deutschsprachige Arbeitsgemeinschaft für Verbrennungsbehandlung. 35. Jahrestagung der Deutschsprachigen Arbeitsgemeinschaft für Verbrennungsbehandlung (DAV 2017). Chur, Schweiz, 11.-14.01.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. Doc17dav2.2

doi: 10.3205/17dav10, urn:nbn:de:0183-17dav109

Veröffentlicht: 18. Januar 2017

© 2017 Bodenschatz et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

We present a case of a girl, age 3, with an electric burn of the face, the tongue and fingers.

History: The patient had an electric burn by putting two screws in a socket. With following heart arrest and burns of the right face and the right hand (Pictures).

Treatment: The child was first treated by the department for pediatric surgery. We discussed the case very intensive with the colleagues of the department for plastic and reconstructive surgery, as well as with the colleagues of the department of oral and maxillofacial surgery and plastic operations. The treatment of the right hand was performed by the hand surgeons – department of plastic and reconstructive surgery. We decided to treat the face together with the colleagues of the OMS. We decided to treat as minimal as possible hoping to get the best cosmetic result. Having spared possible vital structures. We just waited and reconstructed the face step by step. We needed 4 operative procedures to reconstruct the face in the first setting (Pictures). After 2 years we decided to perform a widening of the mouth with a reconstruction of the right angle (Pictures).

Conclusion: We think our decision to close the defect step by step without extensive surgery was a good one. Vital structures could be preserved. The cosmetic result was good.